Individual provider Active NPI

Felicia Ann Gray-Hamilton, DNP, FNP-C

  • Family Nurse Practitioner
  • Collierville, TN
National Provider Identifier
1164257481
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36878 Issued in TN
Practice address
2028 W Poplar Ave Ste 115
Collierville, TN 38017-0618
Phone
(901) 221-8983
Fax
(855) 447-4644
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36878 TN Primary

Addresses

Primary practice location

2028 W Poplar Ave Ste 115
Collierville, TN 38017-0618

Mailing address

154 E Sweetwater Rd
Byhalia, MS 38611-7844
Phone (901) 827-2491

Other practice location 1

7865 Educators Ln Ste 110
Memphis, TN 38133-8191
Phone (901) 384-9920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119004004 TN Practitioner - Nurse Practitioner 4183709645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collierville Family Health PLLCGroup PAC ID 5890959381, 2 clinicians

Practice addresses (Care Compare)

2028 W Poplar Ave
Suite 115
Collierville, TN 38017-0618
Phone (901) 459-2650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
36878TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Collierville Family Health PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

2028 W Poplar Ave
Ste 115
Collierville, TN 38017
Phone (901) 221-8983

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICJICA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICJICA/Endpoint/ICJICA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1164257481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 E SWEETWATER RD",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386117844",
            "telephone_number": "901-827-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 W POPLAR AVE STE 115",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170618",
            "telephone_number": "901-221-8983",
            "fax_number": "855-447-4644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7865 Educators Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381338191",
            "country_code": "US",
            "telephone_number": "901-384-9920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY-HAMILTON",
        "first_name": "FELICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.